Connecticut Back Center LLC
NPI 1174564942ActiveOrganization· Orthopaedic Surgery· Vernon, CT
Orthopaedic Surgery in Vernon, Connecticut, registered in NPPES in June 2006. The authorized official on file is Amy Eisler, Office Manager. Enrolled in Medicare as dme supplier - physician - orthopedic/orthopedic surgery and part b supplier - clinic/group practice.
Overview
| NPI | 1174564942 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 10, 2006 |
| Last updated in NPPES | Dec 19, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Orthopedic/Orthopedic Surgery (CT); Part B Supplier - Clinic/Group Practice (CT) |
|---|
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